Individual
MR. ABOLGHASSEM JAMSHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7386
(718) 470-8445
Mailing address
73 CARLTON AVE, APT D-47, PORT WASHINGTON, NY 11050-3545
(516) 767-8804
(718) 470-8445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000029-1
NY
174400000X
Specialist
Primary
000053-1
NY
Other
Enumeration date
06/30/2010
Last updated
07/01/2010
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